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. 2023 Sep 4;23:1710. doi: 10.1186/s12889-023-16168-8

Table 2.

Association between cumulative social risk and the Health and Activity Limitation Index (HALex).

Independent variable Unadjusted Model 1 Model 2
 A. HALex scores (β, 95% CI)
SDoH index (1-unit increase) -0.015 (-0.016, -0.015) -0.020 (-0.021, -0.020) -0.010 (-0.011, -0.010)
SDoH-Q1 Reference Reference Reference
SDoH-Q2 -0.044 (-0.046, -0.041) -0.056 (-0.059, -0.053) -0.032 (-0.035, -0.030)
SDoH-Q3 -0.081 (-0.085, -0.077) -0.107 (-0.111, -0.103) -0.061 (-0.064, -0.057)
SDoH-Q4 -0.128 (-0.132, -0.124) -0.167 (-0.171, -0.163) -0.086 (-0.089, -0.083)
B. Poor HALex (OR, 95% CI)
SDoH index (1-unit increase) 1.20 (1.19, 1.21) 1.31 (1.30, 1.32) 1.20 (1.19, 1.21)
SDoH-Q1 Reference Reference Reference
SDoH-Q2 2.18 (2.06, 2.30) 2.79 (2.63, 2.96) 2.19 (2.05, 2.34)
SDoH-Q3 3.44 (3.26, 3.63) 5.71 (5.39, 6.07) 3.73 (3.48, 3.99)
SDoH-Q4 5.26 (5.00, 5.54) 11.11 (10.47, 11.79) 5.32 (4.97, 5.70)

Model 1 – age (continuous), sex, and race/ethnicity

Model 2 – Model 1 + smoking history, obesity, arthritis, cancer, chronic liver disease, coronary heart disease, COPD, diabetes, hypertension, kidney failure, stroke, Kessler-6 score, and US geographic region of residence

Abbreviations: β – beta coefficient; HALex – Health and Activity Limitation index; OR – odds ratio; SDoH-Q – quartile group of cumulative social determinants of health index